Does an Ayurvedic treatment called Brahmi Shirodhara reduce PMS mood swings?

Background: Premenstrual Syndrome (PMS) is a common condition characterized by emotional and physical symptoms that interfere with daily functioning. Ayurveda describes Shirodhara—the rhythmic pouring of medicated liquids on the forehead—as a therapy to pacify Prana Vata and restore psychosomatic balance. Brahmi (Bacopa monnieri), a renowned Medhya Rasayana, possesses neuro-cognitive and stress-modulating properties. Objective: To evaluate the efficacy of Brahmi Siddha Ksheer Shirodhara in alleviating mood swings associated with PMS. Methods: A pilot interventional study was conducted on 30 female participants aged 16–40 years. Shirodhara with Brahmi Siddha Ksheer was administered for seven consecutive days, commencing ten days before menstruation, for three consecutive cycles. Outcomes were assessed using the Premenstrual Symptoms Screening Tool (PSST) before and after treatment. Results: A significant reduction was observed in both Total Symptom Score (28.43 → 21.23; 25.3% improvement) and Functional Impairment Score (14.33 → 10.90; 23.9% improvement) with p < 0.05. Participants reported better emotional stability, reduced anxiety, and improved daily performance. Conclusion: Brahmi Siddha Ksheer Shirodhara demonstrated promising results in mitigating PMS-induced mood swings through its calming, neuro-endocrine-balancing, and Vata-Shamaka effects. Its non-invasive nature and absence of internal medication suggest potential as a safe, effective adjunct in holistic PMS management.

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